Ceftazidime: pharmacokinetics in young volunteers versus elderly patients and therapeutic efficacy with complicated urinary tract infections

Thirty-six urological patients (21 male, 15 female) aged 21 to 83 years with complicated and/or hospital-acquired urinary tract infections due to sensitive bacteria were treated with ceftazidime intravenously with a daily dose of 2 g bd over 5 to 17 days. Twenty-seven patients were followed for 1 to 4 weeks after therapy. Cure was observed in 41%, reinfection in 33% and relapse in 26% of the patients. Eradication of the original pathogen occurred in 74%. Five patients showed minor side effects: diarrhoea (2), nausea (1), rash (1), headache (1). No signs of renal, hepatic or haematological toxicity were observed. A pharmacokinetic study was performed in 13 elderly patients aged 63 to 83 years on day 1 of treatment and in 6 volunteers aged 24 to 32 years following administration of 2 g of ceftazidime as short intravenous infusion. The mean serum half life in 12 patients 2.9 h significantly higher than in volunteers (1.75 h). Serum concentrations in patients on day 7 of treatment, however, showed no accumulation when treated with a dosage of 2 g bd

Pharmacokinetics, in-vitro activity, therapeutic efficacy and clinical safety of aztreonam vs. cefotaxime in the treatment of complicated urinary tract infections

The minimal inhibitory concentrations (MICs) of aztreonam and cefotaxime were determined against 400 isolates from urological in-patients with complicated and/or hospital acquired urinary tract infections (UTI). Against the Gram-negative rods the activities of both antibiotics were comparable except for higher activity of aztreonam against Pseudomonas aeruginosa. The pharmacokinetic study in nine elderly patients showed a prolonged plasma half life of aztreonam (2.7 h) as compared to younger volunteers (1.6-1.9 h). In a prospective randomized study 39 urological patients with complicated and/or hospital acquired UTI were treated with 1 g aztreonam or cefotaxime iv twice daily for 4 to 15 days. Cure was obtained in 5 out of 18 patients in the aztreonam and 7 out of 20 patients in the cefotaxime group. There were 3 superinfections, 7 relapses and 3 reinfections in the aztreonam group and 1 failure, 1 superinfection, 6 relapses and 5 reinfections in the cefotaxime group. There was no significant difference in therapeutic efficacy between the two antibiotics. Both antibiotics were tolerated well and seem to be equally effective in the treatment of complicated UTI caused by sensitive organisms

High-performance liquid chromatography analysis of mezlocillin, piperacillin, their degradation products, and of ioxitalamic acid in plasma and urine of healthy volunteers

In plasma and urine of 10 healthy volunteers after intravenous administration of 4 g mezlocillin and piperacillin, respectively, the parent compounds as well as degradation products were assayed by high-performance liquid chromatography. Ioxitalamic acid, a renal contrast medium, was administered simultaneously, in order to measure the glomerular filtration rate, and to control the collection of 24-h urine. As metabolite of mezlocillin the corresponding penicilloic acid only was found, whereas in the case of piperacillin a further degradation product was observed. Half of the doses given was recovered in the urine as unchanged drugs, and in addition 5-10% as metabolites. No differences were found in the pharmacokinetic behaviour of both antibiotics

The geometry of entanglement: metrics, connections and the geometric phase

Using the natural connection equivalent to the SU(2) Yang-Mills instanton on the quaternionic Hopf fibration of $S^7$ over the quaternionic projective space ${\bf HP}^1\simeq S^4$ with an $SU(2)\simeq S^3$ fiber the geometry of entanglement for two qubits is investigated. The relationship between base and fiber i.e. the twisting of the bundle corresponds to the entanglement of the qubits. The measure of entanglement can be related to the length of the shortest geodesic with respect to the Mannoury-Fubini-Study metric on ${\bf HP}^1$ between an arbitrary entangled state, and the separable state nearest to it. Using this result an interpretation of the standard Schmidt decomposition in geometric terms is given. Schmidt states are the nearest and furthest separable ones lying on, or the ones obtained by parallel transport along the geodesic passing through the entangled state. Some examples showing the correspondence between the anolonomy of the connection and entanglement via the geometric phase is shown. Connections with important notions like the Bures-metric, Uhlmann's connection, the hyperbolic structure for density matrices and anholonomic quantum computation are also pointed out.Comment: 42 page

Limits on Stellar and Planetary Companions in Microlensing Event OGLE-1998-BUL-14

We present the PLANET photometric data set for \ob14, a high magnification ($A_{\rm max}\sim 16$) event alerted by the OGLE collaboration toward the Galactic bulge in 1998. The PLANET data set consists a total of 461 I-band and 139 $V-$band points, the majority of which was taken over a three month period. The median sampling interval during this period is about 1 hour, and the $1\sigma$ scatter over the peak of the event is 1.5%. The excellent data quality and high maximum magnification of this event make it a prime candidate to search for the short duration, low amplitude perturbations that are signatures of a planetary companion orbiting the primary lens. The observed light curve for \ob14 is consistent with a single lens (no companion) within photometric uncertainties. We calculate the detection efficiency of the light curve to lensing companions as a function of the mass ratio and angular separation of the two components. We find that companions of mass ratio $\ge 0.01$ are ruled out at the 95% confidence level for projected separations between 0.4-2.4 \re, where \re is the Einstein ring radius of the primary lens. Assuming that the primary is a G-dwarf with \re\sim3 {\rm AU} our detection efficiency for this event is $\sim 60$ for a companion with the mass and separation of Jupiter and $\sim5$ for a companion with the mass and separation of Saturn. Our efficiencies for planets like those around Upsilon And and 14 Her are > 75%.Comment: Data available at http://www.astro.rug.nl/~planet/planetpapers.html 20 pages, 10 figures. Minor changes. ApJ, accepte

Dynamical laws of superenergy in General Relativity

The Bel and Bel-Robinson tensors were introduced nearly fifty years ago in an attempt to generalize to gravitation the energy-momentum tensor of electromagnetism. This generalization was successful from the mathematical point of view because these tensors share mathematical properties which are remarkably similar to those of the energy-momentum tensor of electromagnetism. However, the physical role of these tensors in General Relativity has remained obscure and no interpretation has achieved wide acceptance. In principle, they cannot represent {\em energy} and the term {\em superenergy} has been coined for the hypothetical physical magnitude lying behind them. In this work we try to shed light on the true physical meaning of {\em superenergy} by following the same procedure which enables us to give an interpretation of the electromagnetic energy. This procedure consists in performing an orthogonal splitting of the Bel and Bel-Robinson tensors and analysing the different parts resulting from the splitting. In the electromagnetic case such splitting gives rise to the electromagnetic {\em energy density}, the Poynting vector and the electromagnetic stress tensor, each of them having a precise physical interpretation which is deduced from the {\em dynamical laws} of electromagnetism (Poynting theorem). The full orthogonal splitting of the Bel and Bel-Robinson tensors is more complex but, as expected, similarities with electromagnetism are present. Also the covariant divergence of the Bel tensor is analogous to the covariant divergence of the electromagnetic energy-momentum tensor and the orthogonal splitting of the former is found. The ensuing {\em equations} are to the superenergy what the Poynting theorem is to electromagnetism. See paper for full abstract.Comment: 27 pages, no figures. Typos corrected, section 9 suppressed and more acknowledgments added. To appear in Classical and Quantum Gravit

Coset Construction of Spin(7),G2Spin(7), G_2 Gravitational Instantons

We study Ricci-flat metrics on non-compact manifolds with the exceptional holonomy $Spin(7), G_2$. We concentrate on the metrics which are defined on ${\bf R} \times G/H$. If the homogeneous coset spaces $G/H$ have weak $G_2$, SU(3) holonomy, the manifold ${\bf R} \times G/H$ may have $Spin(7), G_2$ holonomy metrics. Using the formulation with vector fields, we investigate the metrics with $Spin(7)$ holonomy on ${\bf R}\times Sp(2)/Sp(1), {\bf R}\times SU(3)/U(1)$. We have found the explicit volume-preserving vector fields on these manifold using the elementary coordinate parameterization. This construction is essentially dual to solving the generalized self-duality condition for spin connections. We present most general differential equations for each coset. Then, we develop the similar formulation in order to calculate metrics with $G_2$ holonomyComment: 29 pages, no figure; (v2) Errors are corrected ; (v3) Some explanations are added. More general differential equations for SU(3)/U(1) coset are give

Purity-bounded uncertainty relations in multidimensional space -- generalized purity

Uncertainty relations for mixed quantum states (precisely, purity-bounded position-momentum relations, developed by Bastiaans and then by Man'ko and Dodonov) are studied in general multi-dimensional case. An expression for family of mixed states at the lower bound of uncertainty relation is obtained. It is shown, that in case of entropy-bounded uncertainty relations, lower-bound state is thermal, and a transition from one-dimensional problem to multi-dimensional one is trivial. Results of numerical calculation of the relation lower bound for different types of generalized purity are presented. Analytical expressions for general purity-bounded relations for highly mixed states are obtained.Comment: 12 pages, 2 figures. draft version, to appear in J. Phys. A Partially based on a poster "Multidimensional uncertainty relations for states with given generalized purity" presented on X Intl. Conf. on Quantum Optics'2004 (Minsk, Belarus, May 30 -- June 3, 2004) More actual report is to be presented on ICSSUR-2005, Besan\c{c}on, France and on EQEC'05, Munich. V. 5: amended article after referees' remark